tci Medicare Compliance & Reimbursement - 2012 Issue 13

Reader Question: Shifting Between MD Supervision and Direction

Question: Four certified registered nurse anesthetists (CRNAs) from our group were working on separate cases under the anesthesiologist's medical direction. An emergency patient comes in, and the anesthesiologist takes the case. He is no longer available to medically direct the CRNAs. How do I code the CRNA cases?Answer: CMS states that a medically directing anesthesiologist can perform certain other services concurrently and retain his or her medical direction status. One example is "Addressing an emergency of short duration in the immediate area."The answer for your situation depends on whether the anesthesiologist's involvement in the emergency case was...

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